Retroperitoneal <italic style="font-style: italic">Versus</italic> Transperitoneal Laparoscopic Partial Nephrectomy: A Systematic Review and Meta-analysis<sup>△</sup>

Fu Jing; Ye Shan; Ye Hua-jian

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Retroperitoneal Versus Transperitoneal Laparoscopic Partial Nephrectomy: A Systematic Review and Meta-analysis^△

Chinese Medical Sciences Journal Vol. 30, Issue 4, Pages: 239-244(2015)

Orginal Article | Updated：2024-04-10

- Retroperitoneal Versus Transperitoneal Laparoscopic Partial Nephrectomy: A Systematic Review and Meta-analysis^△
- Affiliations：
  
  1. 1Department of Urology, Shaoxing Branch, the First Affiliated Hospital of Zhejiang University School of Medicine (Shaoxing Second Hospital), Shaoxing, Zhejiang 312000, China
  2. 2Department of Public Health, Tashan Community Health Service Center, Yuecheng District, Shaoxing 312000, Zhejiang, China
- Author bio：
  
  *Corresponding author Tel: 86-75-88055555, E-mail: jingsaox@163.com
- Funds：
- DOI：
  CLC：
- Published Online：20 August 2015，
  
  Published：2015-08
- Accepted：
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Fu Jing, Ye Shan, Ye Hua-jian. Retroperitoneal Versus Transperitoneal Laparoscopic Partial Nephrectomy: A Systematic Review and Meta-analysis^△[J]. Chinese medical sciences journal, 2015, 30(4): 239-244.
DOI：

Fu Jing, Ye Shan, Ye Hua-jian. Retroperitoneal Versus Transperitoneal Laparoscopic Partial Nephrectomy: A Systematic Review and Meta-analysis^△[J]. Chinese medical sciences journal, 2015, 30(4): 239-244. DOI：

摘要

Abstract

Objective

To review published literatures comparing the safety and effectiveness of retroperitoneal laparoscopic partial nephrectomy (RLPN) with transperitoneal laparoscopic partial nephrectomy (TLPN) and provide reference for clinical work.

Methods

The search strategy was performed to identify relevant papers from the Cochrane Central Register of Controlled Trials

EMBASE

MEDLINE

Google Scholar

China Hospital Knowledge Database

Wangfang Chinese Periodical Database

and VIP Chinese Periodical Database. All papers comparing RLPN with TLPN were included from 2000 to 2015. Two to three reviewers independently screened

evaluated

and extracted the included papers. A Meta-analysis was executed by using Review Manager 5.3 software. The interesting outcomes were tumor size

operating time

estimated blood loss

warm ischaemia time

length of hospital stay

positive margin rate

open conversion rate

overall complication rate

and recurrence rate.

Results

The literature search obtained 378 papers

then 10 of them were ultimately met the inclusion criteria and included in the systematic review. Finally

6 of the 10 papers were included in the Meta-analysis. RLPN had significantly less operating time [

= 0.01

mean difference (

)=-33.68

95% confidence interval (

) within (-60.35

-7.01)] and shorter length of hospital stay [

0.0001

=-1.47

95%

within (-2.18

-0.76)] than TLPN. Significant differences were not found between RLPN and TLPN in other outcomes.

Conclusions

RLPN may be equally safe and be faster than TLPN. Each center can choose a modality according to your own operating habits and experience.

关键词

Keywords

references

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⁰

Retroperitoneal Versus Transperitoneal Laparoscopic Partial Nephrectomy: A Systematic Review and Meta-analysis△

DOI：

摘要

Abstract

关键词

Keywords

references

Retroperitoneal Versus Transperitoneal Laparoscopic Partial Nephrectomy: A Systematic Review and Meta-analysis^△